03D2111577 CLIA NUMBER - FRY'S PHARMACY #55

Laboratory Demographics

  • CLIA Code: 03D2111577
  • Facility Name: FRY'S PHARMACY #55
  • Facility Address: 1915 S POWER RD
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 924-0868
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WHITNEY RICE

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CLIA Record

Field Name Field Value
CLIA Number 03D2111577
LAB Type Pharmacy
Facility Name FRY'S PHARMACY #55
Street 1915 S POWER RD
City MESA
State AZ
ZIP 85206
Phone 480 924-0868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Pharmacy
Lab Director WHITNEY RICE

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This page was last updated on: 6/4/2025